Comparisons of beliefs in mental health stigma in communities and those who police them.

The police response towards people with mental illness (PwMI) is coming under increasingly intense scrutiny. Numerous jurisdictions have experienced incidents where the police have used force against persons who were exhibiting symptoms of severe mental illness. PwMI are subject to long-held stereotypes and stigma, and recent research indicates these negative attitudes remain, even with training and awareness campaigns. Available literature provides research on citizen and police perceptions of PwMI separately, but no recent studies have compared perceptions of police officers to those held by the members of the communities they patrol. The current study involves a comparison of residents in five southern New Jersey counties and police officers working in these same counties. Both sets of participants responded to a series of statements about perceptions of PwMI. Police were more likely to report supporting stigmatizing views of PwMI than were community members. Negative community response and rejection of police tactics may be rooted partly in differing expectations of treatment towards PwMI in crisis.

Officer Trust Towards Community Members and Critical Incidents: a Comparison of Factors.

Current scholarship suggests attention should be focused on differences in specific job-related conditions to understand help-seeking behavior among police officers. This project examines how officers' feelings of department satisfaction and on-the-job emotions may be associated with trust in members of the community they police. Specifically, officers were asked to report trust levels both in a general sense and in the context of a potential officer-involved shooting (OIS) incident. Print and electronic surveys were completed by 169 police officers across 9 agencies located in 5 New Jersey counties between September 2019 and March 2020. Survey questions covered frequency of on-the-job emotions, satisfaction with department administration, and knowledge of local culture. Bivariate comparisons show officers' levels of both general and post-OIS community trust significantly differ based on reported frequency of emotion, assessment of job satisfaction and department administration, and wider cultural context. Furthermore, multivariate analyses indicate significant factors associated with trust levels include frequency of both positive (fulfillment) and negative (frustration) emotions, satisfaction with training, and attitudes towards the importance of understanding local culture. Findings suggest the complexity of police-community relationships should be more fully explored in relation to supporting aspects of job-related mental wellness in police officers.

Reliability and accuracy of the brachial plexus neurodynamic test.

STUDY DESIGN: Observational study. INTRODUCTION: The brachial plexus neurodynamic test (BPNT), based on previous neurodynamic tests, is considered a clinically meaningful tool to objectively assess brachial plexus extensibility. This novel test's psychometric properties have yet to be determined. PURPOSE OF THE STUDY: The primary study aim was to assess the inter- and intrarater reliability and accuracy of the BPNT, which biases the median nerve and brachial plexus, among clinicians of various professional experience levels and geographic US regions. The secondary study aim was to determine if professional experience or geographic region affects the accuracy levels of this test. METHODS: In phase 1, inter-rater reliability and accuracy was determined. About 307 participants attending neural mobilization conferences and courses were instructed in the BPNT and asked to score 7 different videos of 14 possible test levels. In phase 2, intrarater reliability was determined via scoring the same test videos twice. RESULTS: High inter-rater intraclass correlation coefficient (range, 0.98-0.99) and accuracy (range, 0.88-0.94) levels were determined for all clinical experience levels and geographic regions. Intrarater intraclass correlation coefficient values were high (range, 0.96-1.0) among all participants. One-way analysis of variance indicated no significant differences on test accuracy based on professional clinical experience (F = 0.104; P = .958) and geographic region (F = 0.416; P = .416) among all 307 participants. DISCUSSION: Excellent inter- and intrarater reliability and accuracy levels may allow clinicians to correctly identify BPNT positions regardless of their professional experience or geographic location. CONCLUSION: The BPNT can reliably and accurately quantify outcomes in neural mobility scoring.

Regulating intensity using perceived exertion: effect of exercise duration.

To examine whether the validity of perception-based intensity regulation would be affected by exercise duration, 20 subjects were recruited to complete a maximal exercise test (GXT) and four submaximal trials of varying duration and intensity using a cyle ergometer. During GXT, ratings of perceived exertion (RPE), oxygen uptake VO2, heart rate (HR), and power output (PO) equivalent to 50 and 75% VO2peak were determined. During each trial, subjects were to produce and maintain a workload using RPE estimated at 50 or 75% VO2peak for 20 or 40 min, and VO2, HR, and PO were measured throughout the exercise. No differences in average VO(2) were found between the estimation and production trial of either duration. However, average HR and PO were lower (P < 0.05) during the production trial of both durations. It appears that exercise duration has a minimal impact upon the accuracy of using RPE to regulate a target metabolic demand.

Cardiovascular fitness in obese versus nonobese 8-11-year-old boys and girls.

The purpose of this study was to compare cardiovascular fitness between obese and nonobese children. Based on body mass index, 118 were classified as obese (boys [OB] = 62, girls [OG] = 56), while 421 were nonobese (boys [NOB] = 196, girls [NOG] = 225). Cardiovascular fitness was determined by a 1-mile [1.6 km] run/walk (MRW) and estimated peak oxygen uptake (VO2peak) and analyzed using two-way analyses of variance (Gender x Obese/Nonobese). MRW times were significantly faster (p < .05) for the NOB (10 min 34 s) compared to the OB (13 min 8 s) and the NOG (13 min 15 s.) compared to the OG (14 min 44 s.). Predicted VO2peak values (mL x kg(-1) x min(-1)) were significantly higher (p < .05) for the NOB (48.29) compared to the OB (41.56) and the NOG (45.99) compared to the OG (42.13). MRW was compared between obese and nonobese participants on the President's Challenge (2005), the National Children and Youth Fitness Study, and FITNESSGRAM HFZ standards. The nonobese boys and girls scored higher on all three, exhibiting better cardiovascular fitness as compared to obese counterparts.

Metabolic and perceptual responses during Spinning cycle exercise.

PURPOSE: The present investigation was undertaken to compare metabolic and perceptual responses between exercise performed at constant intensity (CON) and with a Spinning protocol of variable intensity (VAR). METHOD: Fifteen subjects, including seven males and eight females (23 +/- 5 yr, 72 +/- 17 kg, and 171 +/- 10 cm), underwent two experimental trials. During each trial, subjects performed a 30-min cycle exercise protocol that was followed by a 30-min recovery period. Exercise was performed at 67 +/- 3% (means +/- SD) of HR(max) in CON. In VAR, the similar intensity (68 +/- 4% HR(max)) was also achieved, although the protocol entailed alternating phases of both higher and lower intensity arranged similarly to what is designed for a typical Spinning workout. Oxygen uptake (VO2) and HR were measured at rest and throughout both exercise and recovery, whereas RPE were recorded during exercise only. Plasma lactate concentrations [La] were determined at rest, the end of exercise, and the end of recovery. RESULTS: No differences in average VO2, HR, and RPE were found during exercise between CON and VAR. However, average VO2 and HR were higher (P < 0.05) in VAR than CON (0.33 +/- 0.03 vs 0.26 +/- 0.02 L x min(-1) and 91 +/- 3 vs 80 +/- 2 beats x min(-1), respectively). [La] was higher (P < 0.05) at the end of exercise in VAR than CON (7.2 +/- 0.8 vs 2.7 +/- 0.3 mmol x L(-1)), but became similar at the end of recovery. CONCLUSION: An exercise regimen in which intensity varies exerts no added effect on metabolic and perceptual responses during exercise as long as the average intensity is kept the same. However, VAR resulted in a greater [latin capital V with dot above]O2 after exercise, and this augmented postexercise oxygen consumption may be mediated in part by elevated plasma [La].

Predicting anaerobic capabilities in 11-13-year-old boys.

Anaerobic exercise is involved in many recreational and competitive sport activities. This study first established regression equations to predict maximal anaerobic power and then cross-validated these prediction equations. Using stepwise multiple regression analysis prediction equations for relative (watts per kilogram of body mass) and absolute (watts) mean and peak anaerobic power using the 30-second Wingate Test as the power measure were determined for 40 boys (age, 11-13 years). Percentage of body fat, free-fat weight, midthigh circumference, and 30-m dash were the independent predictive variables with the generated regression equations subsequently cross-validated using 20 different boys (age, 11-13 years). Significant correlations (Pearson r) were found for the cross-validation subjects between the measured power outputs and predicted power outputs for relative mean power (r = 0.48, p < 0.05), absolute mean power (r = 0.77, p < 0.01), and absolute peak power (r = 0.76, p < 0.01). Using paired t-tests, no significant mean differences (p > 0.05) were found for the same subjects between actual and predicted power outputs for relative mean power, absolute mean power, and absolute peak power. Prediction of maximal anaerobic power from selected anthropometric measurements and 30-m dash appears tenable in 11-13-year-old boys and can be accomplished in a simple cost- and time-effective manner.

Physiological and biomechanical analysis of treadmill walking up various gradients in men and women.

This investigation was undertaken to examine the physiological and biomechanical responses during treadmill walking up various gradients in men and women. Groups of 11 men and 11 women took part in four experiments consisting of 8 min treadmill walks at 1.3 m.(-1) up gradients of 0%, 5%, 10% and 15%. The subjects also underwent an anthropometric assessment during which their height, body mass (BM), percentage (%) body fat, lean body mass (LBM), and waist-to-hip ratio (WHR) were obtained. During exercise, each subject was videotaped during three walking cycles so that sagittal kinematics including stride length (SL) and frequency (SF) and ranges of motion achieved at the shoulder, hip and knee during a walking cycle could be determined using a motion analysis system. The motion capture was followed by a measurement of steady-state oxygen uptake (VO(2)) and heart rate (HR) using indirect calorimetry and a HR monitor. Compared to men, women were higher in % body fat, but lower in height, BM, LBM, and WHR. The VO(2) in millilitres per kilogram per minute and HR were similar between men and women at 0% and 5%, but greater in women than men at 10% and 15%. The SL and SF were greater and smaller, respectively, in men than women up all gradients. Shoulder extension was greater up gradients of 10% and 15% in women than men, whereas no sex difference in shoulder flexion was noted. Hip extension and flexion as well as knee flexion remained the same between men and women up all gradients. An inverse relationship was observed between VO(2) in millilitres per kilogram per minute and BM, LBM, and WHR when men and women were combined. In conclusion, the mass-specific metabolic cost of treadmill walking up high gradients is greater in women than men. Such an increase in relative metabolic cost may be attributable to the fact that women are smaller in size, and/or have relatively more BM distributed peripherally. This sex difference may also be due to a greater movement of the upper limbs in women during walking uphill, although direct evidence is needed to support this contention.

The effect of flexible magnets on hand muscle strength: a randomized, double-blind study.

The purpose of this study was to determine the effect of a flexible magnet on hand grip and thumb-forefinger pinch strength. Flexible magnet use has become popular in sports medicine and rehabilitation for a number of reasons, including augmenting muscle force output. Thirty-five university students (18 men and 17 women) volunteered for this study. Each subject was tested for grip strength (grip dynamometer) and thumb-forefinger pinch strength (pinch gauge) under 3 different treatment conditions: baseline (no magnet), sham magnet (placebo), and flexible magnet (700-G intensity). The order of treatments was randomly assigned, and all data collection followed a double-blind format. For grip strength measurements, magnet placement was over the bellies of the flexor digitorum profundus and flexor digitorum superficialis, and for pinch strength measurements, it was over the bellies of the flexor pollicis brevis and opponens pollicis. Three trials for each strength measurement for each of the 3 conditions were performed. Magnets (700 G or sham) were placed on the appropriate areas of the skin 3 minutes before the first test trial, with each subsequent test trial separated by 1 minute. Comparison among the 3 treatment conditions was analyzed using a 1-way analysis of variance (ANOVA) with repeated measures. ANOVA revealed no statistically significant (p > 0.05) mean differences for strength among any of the 3 treatments (baseline, 700-G magnet, or sham magnet) for either hand grip or thumb-forefinger pinch within each sex subgroup or for the combined group. The findings indicate that flexible magnets with a field strength of 700 G do not increase muscle strength.